Restoration of Permanent Molars Affected With (MIH) Using Composite Restorations or Preformed Metal Crowns
Study Details
Study Description
Brief Summary
The aim of this study is to compare clinical outcome of using direct esthetic composite restorations in managing MIH cases and the use of preformed metal crowns.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Molar incisor hypomineralization can represent a serious and challenging clinical management problem. Children with MIH require higher levels of treatment needs and demonstrate considerable management problems.
For most severely affected MIH molars, direct esthetic restorative materials or preformed metal crowns will be the treatments to choose between. A number of aspects which could support decision-making, however, are not clearly demarcated. First and foremost, it is not clear if both treatments are similarly acceptable for patients and providers.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Direct composite restoration Bulk-fill composite (Filtek bulk flow, 3M Espe ) will be used and covered using a nanohybrid copmosite (filtek XT, 3M Espe ) |
Procedure: Preformed stainless steal crown cemented by glass ionomer lutting cement (Ketac cem,3M Espe)
Covering the affected molar with preformed metal crown cemented by glass ionomer lutting cement
|
Active Comparator: Preformed metal crowns Preformed stainless-steal crowns cemented by glass ionomer lutting cement (ketac cem. 3M Espe ) |
Procedure: Preformed stainless steal crown cemented by glass ionomer lutting cement (Ketac cem,3M Espe)
Covering the affected molar with preformed metal crown cemented by glass ionomer lutting cement
|
Outcome Measures
Primary Outcome Measures
- Pain after the restoration Binary (yes or no ) [12 month]
Questionnaire
Secondary Outcome Measures
- Acceptability of the treatment Binary (yes or no ) [12 month]
Questionnaire
- Restoration quality score index [12 month]
(FDI criteria: criterion marginal adaptation
- Health-related quality of life changes by the therapies [12 month]
Measured as difference in child perceptions Questionnaire CPQ 8-10/11-14)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children with MIH in one fully erupted molar or more.
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Age ranging from 7-12 years.
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cooperative children
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Good general health.
Exclusion Criteria:
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patients participating in other experiments.
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Patients with parents planning to move away within the following year.
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Patients with only mildly affected MIH molars that do not require extensive restorative treatment.
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MIH-affected molars that have a very poor prognosis and require extraction.
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First permanent molars that are affected with other developmental defects, such as hypoplasia, dental fluorosis or amelogenesis imperfecta.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Faculty of oral and dental medicine,Cairo University | Cairo | Egypt |
Sponsors and Collaborators
- Nada Mahmoud Abd El-Azim Mohamed
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- ttt of teeth with MIH part III